Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 안기옥 | - |
dc.date.accessioned | 2018-10-02T02:04:58Z | - |
dc.date.available | 2018-10-02T02:04:58Z | - |
dc.date.issued | 2016-08 | - |
dc.identifier.citation | AMERICAN JOURNAL OF EMERGENCY MEDICINE, v. 34, no. 8 | en_US |
dc.identifier.issn | 0735-6757 | - |
dc.identifier.issn | 1532-8171 | - |
dc.identifier.uri | https://www.sciencedirect.com/science/article/pii/S0735675716302054?via%3Dihub | - |
dc.identifier.uri | https://repository.hanyang.ac.kr/handle/20.500.11754/76299 | - |
dc.description.abstract | Objectives: Manual cardiopulmonary resuscitation (CPR) during vertical transport in small elevators using standard stretcher for out-of-hospital cardiac arrest can raise concerns with diminishing quality. Mechanical CPR on a reducible stretcher (RS-CPR) that can be shortened in the length was tested to compare the CPR quality with manual CPR on a standard stretcher (SS-CPR). Methods: A randomized crossover manikin simulation was designed. Three teams of emergency medical technicians were recruited to perform serial CPR simulations using two different protocols (RS-CPR and SS-CPR) according to a randomization; the first 6 minutes of manual CPR at the scene was identical for both scenarios and two different protocols during vertical transport in a small elevator followed on a basis of cross-over assignment. The LUCAS-2 Chest Compression System (Zolife AB, Lund, Sweden) was used for RS-CPR. CPR quality was measured using a resuscitationmanikin (Resusci Anne QCPR, Laerdal Medical, Stavanger, Norway) in terms of no flow fraction, compression depth, and rate (median and IQR). Results: A total of 42 simulations were analyzed. CPR quality did not differ significantly at the scene. No flow fraction (%) was significantly lower when the stretcher was moving in RS-CPR then SS-CPR (36.0 (33.8-38.7) vs 44.0 (36.8-54.4), P<.01). RS-CPR showed significantly better quality than SS-CPR; 93.2 (50.6-95.6) vs 14.8 (0-20.8) for adequate depth (P<0.01), and 97.5 (96.6-98.2) vs 68.9(43.4-78.5) for adequate rate (P<.01). Conclusion: Mechanical CPR on a reducible stretcher during vertical transport showed significant improvement in CPR quality in terms of no-flow fraction, compression depth, and rate compared with manual CPR on a standard stretcher. (C) 2016 Elsevier Inc. All rights reserved. | en_US |
dc.description.sponsorship | This study was supported by the "Fire Fighting Safety and 119 Rescue Technology Research and Development Program" funded by the Ministry of Public Safety and Security (Grant No.: NEMA-NextGeneration-2014-54). | en_US |
dc.language.iso | en | en_US |
dc.publisher | W B SAUNDERS CO-ELSEVIER INC | en_US |
dc.subject | HOSPITAL CARDIAC-ARREST | en_US |
dc.subject | BASIC LIFE-SUPPORT | en_US |
dc.subject | CARDIOPULMONARY-RESUSCITATION | en_US |
dc.subject | CHEST COMPRESSION | en_US |
dc.subject | AMBULANCE TRANSPORT | en_US |
dc.subject | STEP STOOL | en_US |
dc.subject | TRIAL | en_US |
dc.subject | SURVIVAL | en_US |
dc.subject | CPR | en_US |
dc.subject | DEFIBRILLATION | en_US |
dc.title | Quality between mechanical compression on reducible stretcher versus manual compression on standard stretcher in small elevator. | en_US |
dc.type | Article | en_US |
dc.identifier.doi | 10.1016/j.ajem.2016.05.072 | - |
dc.relation.journal | AMERICAN JOURNAL OF EMERGENCY MEDICINE | - |
dc.contributor.googleauthor | Kim, Tae Han | - |
dc.contributor.googleauthor | Hong, Ki Jeong | - |
dc.contributor.googleauthor | Shin, Sang Do | - |
dc.contributor.googleauthor | Kim, Chu Hyun | - |
dc.contributor.googleauthor | Song, Sung Wook | - |
dc.contributor.googleauthor | Song, Kyoung Jun | - |
dc.contributor.googleauthor | Ro, Young Sun | - |
dc.contributor.googleauthor | Ahn, Ki Ok | - |
dc.contributor.googleauthor | Jang, Dayea Beatrice | - |
dc.relation.code | 2016009401 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | arendt75 | - |
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